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Abdominoplasty

Also known as Tummy Tuck and Dermolipectomy this surgical procedure has the purpose of flattening the abdomen that has been deformed by excess fat tissue and especially excess skin product of poor nutrition, age pregnancies. The Abdominoplasty flattens the part of the abdomen by removing excess fat and skin found in the abdominal wall.

The abdomen for the abdominoplasty has common characteristics as they are:
Flaccidity of the abdominal skin, which may be accompanied by fat or may simply have the component of severe flaccidity. There are many patients who in their attempt to lose weight fluctuate between weight gain and weight loss and this causes greater flaccidity of the skin and the appearance of weaknesses in it known as stretch marks.

Dehiscence of the anterior rectus muscles of the abdomen, or separation of the abdominal muscles, usually after pregnancy these muscles are separated by their great distension.

Skin damaged in different degrees by the appearance of stretch marks that can be only in the area below the navel or generalized.

When an abdominoplasty is performed, the abdomen drastically changes its balloon aspect but not in its frontal view, that is why I always recommend my patients to combine the abdominoplasty with liposuction at least of the waist where I will obtain not only improvement of the lateral view of the patient but also of the frontal view, the patient will lose that square shape giving the necessary curves to obtain a harmonious and enhanced body.

TECHNICAL DETAILS

First and foremost, the patient must be in good health and have his or her basic post-operative studies within normal limits.

  • DO NOT SMOKE
  • Preoperative studies
  • Partial Thromboplastin Time
  • Cardiovascular assessment (for those over 40 years old)
    • Hematic biometry
    • TP and TPT
    • Blood Chemistry 3
    • HIV
    • HCG
    • EGO
  • Certified Hospital

Description of the procedure

Surgical wound

From the abdominoplasty there are two wounds one in the lower abdomen that will go from one side to the other of the hips the second is a wound around the navel. After the injury the surgeon lifts everything known as the dermocutaneous flap this is the block of skin and fat that covers the abdomen. This lift is done up to the ribs, this way the skin will not be attached to the muscular plane and will be easily stretched to know how much skin exceeds and will be removed. By removing all excess skin will be made in this hole that can have various shapes from round in the shape of seagull, triangular etc.. that will serve to remove the new obligation.

Because they have separated so much skin and cut so many blood vessels as a rule leaves two to three drains to monitor bleeding and prevent the appearance of seroma.

Its main objective is the remodeling of the waist, abdomen and the shape of the trunk achieving in the vast majority of patients an improvement in self-esteem as a result of this operation.

There are many factors that contribute to the stomach losing shape and looking unsightly. The weight gain is of course the main one. With weight gain, the skin relaxes, and even if the person loses weight again, the skin will not be as taut as it was before, so it will lose its original appearance. They also contribute to the loss of skin elasticity, pregnancies, age, heredity and previous surgeries that have taken place.

Abdominoplasty

Dr Piletti

Before

After